Bachelor’s degree in Business Administration, related field, or equivalent experience. 8+ of experience in managed healthcare operations. Must have thorough knowledge of LTC / LTSS and Home & Community Based Services (HCBS) guidelines, rules and requirements. Previous leadership experience in a Nursing Home or HCBS environment preferred.

Current State Driver’s License.

Design, implement and oversee all Long Term Care (LTC) / LTSS programs and services in designated service area

Develop project plans to implement LTC /LTSS services and HCBS, including ongoing administration

Identify trends and root causes of problems and provide recommendations for improvements, documentation, and training

Collaborate with configuration, claims, contracting and provider data management to ensure that necessary networks are established and accurate coding in related systems to eliminate over payments, interest, and waste

Participate in the integration of specialty products in health plan operations

Direct the development and implementation of work processes and operational systems

Develop reports to monitor performance and process related to LTC and waiver services and communicate progress to management

Establish best practices and standard operating procedures

Serve as subject matter expert on benefits and waivers

Travel up to 20%

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.